| NPI | 1972915403 |
|---|---|
| Former Name | JONNAE BARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: AZ 59889) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-08-07 |